Active NPI
Stacie Ann Kasper
- Family Medicine Physician
- North Liberty, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-04471
- Practice address
- 1765 Lininger LN
North Liberty, IA 52317-2335 - Phone
- (319) 467-7888
- Fax
- (319) 467-7889
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO-04471 | IA | Primary |
Addresses
Primary practice location
1765 Lininger LN
North Liberty, IA 52317-2335
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-7222
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429
1765 Lininger LN
North Liberty, IA 52317-2335
Phone (319) 467-7888
Hospital & facility affiliations
- University of Iowa Hospital & Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-04471 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State University of Iowa | Family Medicine | Current | Accepting new patients |
| State University of Iowa | Past | Accepting new patients |
Locations
411 10th St SE
Ste 150
Cedar Rapids, IA 52403
Phone (319) 363-3600
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
1765 Lininger Ln
North Liberty, IA 52317
Phone (319) 467-7888
1765 Lininger Ln
#U
North Liberty, IA 52317
Phone (319) 467-7888
Interoperability endpoints
- skasper186644@uihcdirect.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Iowa City, IA
- NPI 1477554814
-
- Physical Therapist
- Iowa City, IA
- NPI 1851462865
-
- Student Health Clinic/Center
- Iowa City, IA
- NPI 1285635664
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1124389176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-384-7222",
"fax_number": "319-384-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 LININGER LN",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523172335",
"telephone_number": "319-467-7888",
"fax_number": "319-467-7889"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-384-7222",
"fax_number": "319-384-7688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASPER",
"first_name": "STACIE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-04471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.